Sunburn Overview Preventive Measures for Travelers
SUNBURN OVERVIEW Increased exposure to UV radiation occurs near the equator, during summer months, at high elevation, and between 10 AM and 4 PM. Reflection from the snow, sand, and water increases exposure, a particularly important consideration for beach activities, skiing, swimming, and sailing. In addition, several common medications may cause photosensitivity reactions in travelers: Acetazolamide Amiodarone Antibiotics (fluoroquinolones, sulfonamides, and tetracyclines, especially demeclocycline and doxycycline) Furosemide Nonsteroidal anti-inflammatory drugs Phenothiazines Sulfonylureas Thiazide diuretics Voriconazole UVA rays are present throughout the day and cause premature aging of the skin. In addition, UVA rays are responsible for photosensitivity reactions and also contribute to skin cancer. UVB rays are intense from 10 AM to 4 PM and are most responsible for sunburn and skin cancer. Serious burns are painful, and the skin may be tender, swollen, and blistered. These sunburns may be accompanied by fever, headache, itching, and malaise. Overexposure to the sun over several years leads to premature aging of the skin, wrinkling, age spots, and an increased risk for skin cancer, including melanoma. Repeated exposure to sunlight can result in pterygium formation, cataracts, and macular degeneration. PREVENTIVE MEASURES FOR TRAVELERS Sun Avoidance Staying indoors or seeking shade between 10 AM and 4 PM is very important in limiting exposure to UV rays, particularly UVB rays. Be aware that sunburn and sun damage can occur even on cloudy days and even when one sits under an umbrella or in the shade. Protective Clothing Wide-brimmed hats, long sleeves, and long pants protect against UV rays. Tightly woven clothing and darker fabrics provide additional protection.
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